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1 – 10 of 572Elena Maggioni and Francesco Mazziotta
Implementing artificial intelligence (AI) in healthcare organizations involves the entire organization. This groundbreaking technology is becoming central to achieve the goals of…
Abstract
Implementing artificial intelligence (AI) in healthcare organizations involves the entire organization. This groundbreaking technology is becoming central to achieve the goals of the new healthcare through the ongoing commitment to sustainability despite the severe lack of resources. Decision-makers in healthcare need knowledge and skills to prepare for the changes in many professional activities in the years ahead. Furthermore, chief medical officers and clinical leaders need to act on the opportunities that AI can bring, starting from its integration into the reality of healthcare settings while working with those responsible for managing and implementing AI in compliance with current legislation in Europe and the United States. Finally, stakeholders need to know how to leverage AI capabilities and how to recognize its limitations and its opportunities in administrative applications (admin AI) to optimize day-to-day operations and clinical applications (non-admin AI). In this view, clinical leaders and health care decision-makers may appreciate AI as a new way to provide sustainable social and healthcare services.
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Aimee O'Farrell, Geoff McCombe, John Broughan, Áine Carroll, Mary Casey, Ronan Fawsitt and Walter Cullen
In many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and…
Abstract
Purpose
In many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and secondary care has been identified as a problem area. This paper aims to undertake a scoping review to gain a deeper understanding of the markers of integration across the primary–secondary interface.
Design/methodology/approach
A search was conducted of PubMed, SCOPUS, Cochrane Library and the grey literature for papers published in English using the framework described by Arksey and O'Malley. The search process was guided by the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA).
Findings
The initial database search identified 112 articles, which were screened by title and abstract. A total of 26 articles were selected for full-text review, after which nine articles were excluded as they were not relevant to the research question or the full text was not available. In total, 17 studies were included in the review. A range of study designs were identified including a systematic review (n = 3), mixed methods study (n = 5), qualitative (n = 6) and quantitative (n = 3). The included studies documented integration across the primary–secondary interface; integration measurement and factors affecting care coordination.
Originality/value
Many studies examine individual aspects of integration. However, this study is unique as it provides a comprehensive overview of the many perspectives and methodological approaches involved with evaluating integration within the primary–secondary care interface and primary care itself. Further research is required to establish valid reliable tools for measurement and implementation.
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Holly Blake, Eleanor Bennett and Mark E. Batt
The purpose of this paper is to ascertain which employees choose to access occupational health checks (OHCs), their perceptions of the usefulness of information received and…
Abstract
Purpose
The purpose of this paper is to ascertain which employees choose to access occupational health checks (OHCs), their perceptions of the usefulness of information received and whether they choose to act on tailored advice provided.
Design/methodology/approach
In total, 253 hospital employees attended workplace OHC then completed online questionnaire survey.
Findings
Participants included new cases (80 per cent) and those who had accessed the service previously (20 per cent), all age categories (23-69 years) and all occupational groups, although the vast majority were in office-based sedentary job roles, nursing or allied health professions (AHP) (78.3 per cent). Almost half were overweight or obese (46.7 per cent); many reported existing health problems or family history of chronic disease. Participants perceived OHC s to be convenient, informative and useful for raising their awareness of health issues, reassurance and monitoring, early identification of potential health problems and signposting to appropriate services. Participants reported post-check dietary changes (41 per cent) and increases in physical activity (30 per cent); smokers reported quitting or cutting down (44 per cent) and those exceeding alcohol limits reported cutting frequency or units of consumption (48 per cent). More than half those advised to visit their GP complied (53 per cent).
Research limitations/implications
Future studies should investigate the efficacy of OHCs and whether reported lifestyle changes are sustained in the long-term.
Originality/value
General health checks can be feasibly delivered in a multi-site hospital workplace setting with diverse appeal. Provision of tailored health information can help to raise health awareness and motivate health behaviour change or maintenance amongst hospital employees, including those reporting risk factors for chronic disease. Employees value the investment of healthcare organisations in the health and wellbeing of their workforce.
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Cathal T. Gallagher and Chhayal Dhokia
The purpose of this paper is to assess if the GOC considers relevant factors at all stages of its deliberations into misconduct, as required by the determinations in the cases of…
Abstract
Purpose
The purpose of this paper is to assess if the GOC considers relevant factors at all stages of its deliberations into misconduct, as required by the determinations in the cases of Cohen, Zygmunt, and Azzam, and to assess whether those circumstances described in the Hearings Guidance and Indicative Sanctions as warranting removal of an optician from the relevant registers lead to that outcome.
Design/methodology/approach
The consideration of specific factors in determining impairment of fitness to practise was compared with their subsequent consideration when determining the severity of sanction. Additionally, cases that highlighted aggravating circumstances deemed as serious enough to warrant removal were monitored. Pearson’s χ2 test was used to detect any variation from the expected distribution of data.
Findings
In total, 42 cases met the inclusion criteria. Each of the four factors considered was more likely to be heard when determining sanction having first been factored in to the consideration of impairment. Where risk of harm was identified as an aspect of an optician’s misconduct, the sanctions of suspension or removal were no more likely to be imposed. Where dishonesty was involved, they were more likely to result in suspension or removal.
Originality/value
The GOC do, in general, factor the rulings of High Court appeal cases into their deliberations on the impairment of fitness to practice and, where dishonesty is involved, consider their own guidance in determining which sanction to apply. The authors were unable to show that placing the safety of patients at risk was more likely to result in removal from the register.
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The purpose of this paper is to inform healthcare providers and healthcare facility leadership about the statutory, administrative, criminal, and tort law implications related to…
Abstract
Purpose
The purpose of this paper is to inform healthcare providers and healthcare facility leadership about the statutory, administrative, criminal, and tort law implications related to preventable harms from unsafe injection practices.
Design/methodology/approach
Review of legal theory and precedents.
Findings
The law can address disputes over unsafe injection practices in a variety of ways. Administrative agencies may hold a provider or facility responsible for preventable harms according to specific statutory and regulatory provisions governing licensure. State courts can compensate victims of certain actions or inactions based on tort law, where a breach of a legal duty caused damages. Prosecutors and the public can turn to criminal law to punish defendants and deter future actions that result in disability or death.
Research limitations/implications
The state law findings in this review are limited to legal provisions and court cases that are available on searchable databases. Due to the nature of this topic, many cases are settled out of court, and those records are sealed from the public and not available for review.
Practical implications
Preventable harm continues to occur from unsafe injection practices. These practices pose a significant risk of disease or even death for patients and could result in legal repercussions for healthcare providers and facility leadership.
Originality/value
This article reviews emerging law and potential legal implications for health care and public health related to unsafe medical practices related to needle, syringe, and vial use.
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Mahfooz Alam and Mohd Ibrahim Siddiqui
With the advancement in technology, the day-to-day life of people has gone through an immense transformation. The use of smart devices for day-to-day life is greater than before…
Abstract
Purpose
With the advancement in technology, the day-to-day life of people has gone through an immense transformation. The use of smart devices for day-to-day life is greater than before, and people are moving towards smart work rather than doing hard work. In this paper, a novel framework is proposed named Online Service Provider in Metro City (OSPMC) for IoT. The purpose of this study is to provide a theoretical framework for the E-Government in order to sustain or minimize the unemployment rate.
Design/methodology/approach
The utilization of the Web in the upcoming years would create further opportunities for smart work. Internet of Things (IoT) plays an essential part in a system of multiple networks that aims to connect all things in the world that are capable of being connected through the internet. OSPMC framework can be developed on ASP.NET through (visual C#) 3.0 and Microsoft SQL Server with frontend and backend languages, respectively, under a web-based environment built on .Net platform. This lucrative facility is available mainly for the people living in the smart city.
Findings
Rural people are coming to smart cities in search of jobs, better education and a healthy lifestyle. India is also coping up with the modern world. The Government of India has taken an initiative for the making of 100 smart cities where the residents are relied upon to use Information and Communication Technology with the assistance of web.
Social implications
OSPMC promises to eliminate multiple evils like social injustice, crime, unemployment, tax fraud and would promote women empowerment. Also, provide opportunities to start-ups in order to grow and enhance their skill work.
Originality/value
The objective of OSPMC can be found useful for opening new job opportunities for urban/rural people while also encouraging people to learn skill work. For smart cities’ success in developing nations, it is important to recognize the elements influencing it. The motivation behind OSPMC is to identify those variables influencing the successful usage of allowing IoT in the smart cities by E-Government of India and to use IoT to help urban smart cities.
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Daniel Samaan and Aizhan Tursunbayeva
This paper demystifies the fluid workforce phenomenon increasingly discussed in the circles of organizational innovators and explores the characteristic aspects of the fluid…
Abstract
Purpose
This paper demystifies the fluid workforce phenomenon increasingly discussed in the circles of organizational innovators and explores the characteristic aspects of the fluid workforce in the healthcare sector.
Design/methodology/approach
We analyze the concept and provide a generic review of definitions of a fluid workforce in relation to other similar concepts established in the academic and practitioner literature, contextualize the fluid workforce phenomenon in healthcare and distinguish relevant drivers and categories of fluid workers in this sector. We also discuss the implications of a fluid workforce for healthcare organizations, drawing on the health labor market and human resource management (HRM) practices frameworks.
Findings
The fluid workforce in healthcare is not new. Today’s main novelties are related to the wide diversity of types of fluid workforce that have emerged, the expanding scale of diffusion of the fluid workforce and the emergence of digital technologies to support HRM decisions. While a fluid workforce may provide solutions to address mismatches in the supply and demand of health workers, it can also worsen working conditions, increase dual practice and have implications for existing HRM practices.
Originality/value
We disentangle a novel term for the public sector, healthcare and HRM literature. We discern similarities and distinctions, presenting a framework for managing and analyzing this workforce at organizational and labor market levels in the healthcare sector. Acknowledging the challenges in estimating the existing fluid workforce labor market size, we offer practical methodologies to empirically estimate its prevalence within the healthcare industry and build an agenda for future research.
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